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中国防痨杂志 ›› 2022, Vol. 44 ›› Issue (12): 1242-1248.doi: 10.19982/j.issn.1000-6621.20220359

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《结核病流行背景下胸内结节病与结核病临床鉴别与处置专家共识》解读

曾谊1, 胡红玲2, 李智勇3, 周晖4, 陈禹5, 张培泽6, 方芳7, 赖晓宇8, 路希维9()   

  1. 1南京中医药大学附属南京医院(南京市第二医院)结核科,南京 211131
    2华中科技大学同济医学院附属武汉中心医院呼吸科,武汉 430014
    3大连医科大学附属第一医院放射科,大连 116011
    4中南大学湘雅医院放射科,长沙 410008
    5沈阳市第十人民医院/沈阳市胸科医院学生儿童结核科,沈阳 110044
    6深圳市第三人民医院结核科,深圳 518020
    7北京医院病理科/国家老年医学中心,北京 100730
    8广东省结核病控制中心结核病科,广州 510630
    9大连市公共卫生临床中心结核科,大连 116033
  • 收稿日期:2022-09-22 出版日期:2022-12-10 发布日期:2022-12-02
  • 通信作者: 路希维 E-mail:yiluxiwei@126.com

Interpretation of Expert consensus on clinical differential diagnosis and treatment of intrathoracic sarcoidosis and pulmonary tuberculosis under the background of tuberculosis epidemic

Zeng Yi1, Hu Hongling2, Li Zhiyong3, Zhou Hui4, Chen Yu5, Zhang Peize6, Fang Fang7, Lai Xiaoyu8, Lu Xiwei9()   

  1. 1Department of Tuberculosis, Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing Second Hospital, Nanjing 211131, China
    2Department of Respiratory, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China
    3Department of Radiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
    4Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China
    5Department of Student and Child Tuberculosis, Shenyang Tenth People’s Hospital, Shenyang Chest Hospital, Shenyang 110044, China
    6Department of Tuberculosis, the Third People’s Hospital of Shenzhen, Shenzhen 518020, China
    7Department of Pathology, Beijing Hospital, National Center of Gerontology, Beijing 100730, China
    8Department of Tuberculosis, Center for Tuberculosis Control of Guangdong Province, Guangzhou 510630, China
    9Department of Tuberculosis, Dalian Public Health Clinical Center, Dalian 116033, China
  • Received:2022-09-22 Online:2022-12-10 Published:2022-12-02
  • Contact: Lu Xiwei E-mail:yiluxiwei@126.com

摘要:

胸内结节病与结核病在临床特征、病理学表现、影像学征象上存在一定的相似性,尤其是在结核病高流行区域,建立规范的鉴别诊断流程以避免误诊误治,显得尤为重要。因此,中国防痨协会多学科诊疗分会、《中国防痨杂志》编辑委员会和中华医学会放射学分会临床多学科合作工作组联合组织全国结核病科、呼吸科、病理科、影像科及关联学科专家,编制了《结核病流行背景下胸内结节病与结核病临床鉴别与处置专家共识》。笔者作为本共识编制的参与者,就两病鉴别诊断的难点和推荐意见进行解读,以供广大临床工作者参考与借鉴。

关键词: 结节病, 结核,肺, 诊断,鉴别, 总结性报告(主题)

Abstract:

Intrathoracic sarcoidosis and tuberculosis are similar in clinical characteristics, pathological manifestations and imaging signs. It is particularly important to establish a standardized differential diagnosis process to avoid misdiagnosis and mistreatment, especially in tuberculosis endemic areas. Therefore, the Multidisciplinary Diagnosis and Treatment Committee of the Chinese Antituberculosis Association, Editorial Board of Chinese Journal of Antituberculosis and Clinical Multidisciplinary Cooperation Working Group of the Radiology Branch of the Chinese Medical Association organized multidisciplinary experts from the national tuberculosis department, respiratory department, pathology department, imaging department and related disciplines to develop an Expert consensus on clinical differential diagnosis and treatment of intrathoracic sarcoidosis and pulmonary tuberculosis under the background of tuberculosis epidemic. As a participant in the consensus compilation, the author interprets the difficulties and recommendations in the differential diagnosis of the two diseases for clinical reference.

Key words: Sarcoidosis, Tuberculosis, pulmonary, Diagnosis, differential, Consensus development conferences as topic

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